Hemodialysis Access Part A — Temporary

  • Robert Uldall


Since hemodialysis was first practiced clinically as a substitute for absent renal function, access to the circulation has always been a demanding and, at times, frustrating exercise. In the beginning hemodialysis was only performed for relatively short periods for acute reversible renal failure in young people with good blood vessels. Almost any method of access was adequate for this purpose. Shaldon’s semi-stiff tapered catheter with a single cylindrical lumen inserted over a guide-wire by the Seldinger technique into the femoral vein provided one blood flow pathway for removal or return of blood (1). A second conduit could be provided by means of a second catheter in the same or a different vein and these catheters could be left in place for two or three treatments. Evidence for the crucial importance and desirability of this technique is apparent in the fact that it remains widely practiced today when no safe alternative can be found. Because of its superficial position, just medial to the femoral artery in the groin, the femoral vein is easy to cannulate, even by inexperienced operators.


Arteriovenous Fistula Subclavian Vein Artif Organ Exit Site Hemodialysis Catheter 
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Copyright information

© Kluwer Academic Publishers 1996

Authors and Affiliations

  • Robert Uldall
    • 1
  1. 1.Wellesley HospitalTorontoCanada

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